Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,473.00	Facility		$750.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $349.17 / $559.33	Professional		$308.06	$349.17	$559.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.97 / $383.90 / $612.50	Professional		$298.97	$383.90	$612.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.09 / $1,522.34 / $1,627.93	Facility		$1,166.09	$1,522.34	$1,627.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $409.53 / $603.95	Professional		$293.35	$409.53	$603.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $370.20 / $1,391.57	Professional		$3.76	$370.20	$1,391.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,159.64 / $1,637.08 / $1,637.08	Facility		$1,159.64	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $320.55 / $1,739.46	Professional		$2.82	$320.55	$1,739.46
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $382.40 / $602.29	Professional		$302.57	$382.40	$602.29